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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY MITEK LLC US FMS CONNECT (VUE); ARTHROSCOPE

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DEPUY MITEK LLC US FMS CONNECT (VUE); ARTHROSCOPE Back to Search Results
Catalog Number 282114
Medical Device Problem Codes Use of Device Problem (1670); Blocked Connection (2888)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.According to the information provided, it was reported that the cable was not properly syncing the shaver box with the fms device despite multiple attempts.It is not functioning.¿ the product was returned to depuy synthes for evaluation.Visual inspection of the returned device found external aspect of the cord is in normal used condition.No other anomalies could be observed.A functional test was performed, the device was connected to fms vue pump.The default settings were present on the pump, the blue indicator light was shown indicating the interface cable was recognized by the test pump and was receiving power.No fault code could be observed.A test shaver handpiece was wired through the interface cable.When the shaver was activated, the blue indicator light was flashing on the device indicating the interface cable did recognize the current going through the test shaver, however the pinch valve on the pump was not activating.¿ the overall complaint was confirmed as the observed condition of the fms connect (vue) would have contributed to the complained issue.¿ based on the investigation findings, the potential cause is traced to wear of device's internal components, since this is a reusable device, the constant manipulation between surgeries and sterilization process can lead to a non-working interface cable.As per ifu-111105, prior to use, check the system components for damage.Check the cable integrity carefully.If there are signs of damage, do not use.It has been determined that no corrective and/or preventative action is proposed.There is no indication that a design or manufacturing issue has caused the reported complaint condition.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Document specification review: ifu- 111105 equipment used: fms vue pump id: (b)(4) sn: (b)(6) fms duo solo pump id: (b)(4) sn: (b)(6) hand pc tornado shaver sn: (b)(6) device history lot: null device history batch: null device history review: manufacturing record evaluation is not required as the reported event is not associated with the manufacturing process and/or the potential cause of the defect cannot be associated to manufacturing.
 
Event or Problem Description
It was reported by sales rep via phone that during an unknown arthroscopic procedure, the fms connect (vue) device cable was not properly syncing the shaver box with the fms device despite multiple attempts.It is not functioning.Another device was used to complete the procedure.There was no delay in the procedure reported.There were no adverse patient consequences reported.All available information has been disclosed.
 
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Brand Name
FMS CONNECT (VUE)
Common Device Name
ARTHROSCOPE
Manufacturer (Section D)
DEPUY MITEK LLC US
325 paramount drive
raynham MA 02767
Manufacturer Contact
elba bello
325 paramount drive
raynham, MA 02767
9083863534
MDR Report Key24447901
Report Number1221934-2026-00893
Device Sequence Number13325710
Product Code HRX
UDI-Device Identifier10886705020485
UDI-Public(01)10886705020485
Combination Product (Y/N)N
Initial Reporter StateNJ
Initial Reporter CountryUS
PMA/510(K) Number
K130169
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number282114
Device Lot NumberS34A43130
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/16/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/19/2026
Initial Report FDA Received Date02/25/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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